自我管理行为对维持性血液透析患者自我感受负担的影响研究

Study on Effect of Self-management Behavior on the Self-perceived Burden of Patients with Maintenance Hemodialysis

目的分析自我管理行为的实施对维持行血液透析患者自我感受负担的影响。方法通过问卷调查的形式,对2015年1月—2018年1月期间在该院接受维持性血液透析治疗的275例患者自我感受负担和自我管理行为现状进行调查。结果患者自我感受负担得分平均为(38.71±6.58)分,自我管理行为得分平均为(51.36±10.25)分,自我感受负担总分与自我管理总分及各个维度之间呈负相关(P<0.05)。通过回归分析显示,伙伴关系、问题解决、执行自我护理及情绪处理是影响维持性血液透析患者自我感受负担的重要因素。结论维持性血液透析患者均存在不同程度的自我感受负担,通过提高患者自我管理行为,可显著改善患者伙伴关系、自我护理情况、情绪等,有利于疾病的治疗。

Objective To analyze the effect of self-management behavior on the self-perceived burden of patients with maintenance hemodialysis. Methods The self-perceived burden and self-management practice status of 275 cases of patients treated with maintenance hemodialysis from January 2015 to January 2018 were selected for survey. Results The average score of self-perceived burden and average self-management score were respectively（38.71±6.58）points and（51.36±10.25）points, and the total score of self-perceived burden was negatively correlated with various dimensions（P〈0.05）, and the regression analysis showed that the partner relationship, problem-solving, self-nursing and emotional treatment were the important influencing factors of self-perceived burden. Conclusion The patients with maintenance hemodialysis have different degrees of self-perceived burden, and the improvement of self-management practice can obviously improve the partner relationship, self-nursing condition and emotion, and it is conductive to the treatment of diseases.